OrganizationActive
Mc Intyre House
NPI 1376829432 · Substance Abuse Rehabilitation Facility · Los Angeles, CA
Provider details
- NPI number
- 1376829432
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Milton Maristela, Executive Director(323) 662-0855
- License
- 190420AN (CA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
544 N Kenmore Ave
Los Angeles, CA 90004-6815
Phone: (323) 662-0855
Fax: (323) 662-0842
Street-level locationGet directions
Mailing address
544 N Kenmore Ave
Los Angeles, CA 90004-6815
Registry dates
- Enumerated
- 2011-11-02
- Last updated
- 2011-11-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.